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INETMED RX2 INC. NPI 1487107363


NPI Information

NPI: 1487107363
Provider Name: INETMED RX2 INC.
Classification: Psychologist - 103TP0016X
Entity Type: Organization

Specialization: Prescribing (Medical)

Address:
1505 S DON ROSER DR
SUITE A
LAS CRUCES, NM
ZIP 88011
Phone: (575) 636-2506
Get Directions

INETMED RX2 INC. is a prescribing (medical) psychologist in Las Cruces, NM. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. INETMED RX2 INC. NPI is 1487107363. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1505 S DON ROSER DR
SUITE A
LAS CRUCES, NM
ZIP 88011-596
Phone: (575) 636-2506
Fax: (575) 288-2691

The provider's authorized official is Pattijo N Velasquez .
The authorized official title is Coo and has the following contact phone number (575) 636-2506.

The enumeration date for this NPI number is 7/27/2016 and was last updated on 5/12/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)1278NEW MEXICONo
2103G00000XClinical Neuropsychologist1278NEW MEXICONo
3103T00000XPsychologist1278NEW MEXICONo
4103TB0200XPsychologistCognitive & Behavioral1278NEW MEXICONo
5103TC0700XPsychologistClinical1278NEW MEXICONo
6103TC2200XPsychologistClinical Child & Adolescent1278NEW MEXICONo
7103TH0004XPsychologistHealth1278NEW MEXICONo
8103TP0016XPsychologistPrescribing (Medical)1278NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12255514MEDICARE OSCAR/CERTIFICATIONNEW MEXICO
206035710MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.